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BACKGROUND: The coronavirus disease (COVID)-19 pandemic can provoke anxiety, stress, sadness, and fear; therefore, the timely assessment of individual psychological health status is urgently necessary for society. AIM: The aim of the study was to assess the emotional states (depression, anxiety, and stress), functional health patterns, and self-efficacy among individuals from Egypt, Jordan, and Saudi Arabia during the home quarantine experience associated with COVID-19. METHODS: A descriptive and cross-sectional research design was applied to a convenience sample that included 704 participants from Egypt, Jordan, and Saudi Arabia. Data collection was performed in April 2020, using a self-administered questionnaire that consisted of a sociodemographic data sheet, the Depression, Anxiety, Stress Scale (DASS), a functional health pattern survey, and the General Self-Efficacy Scale (GSES). RESULTS: Overall, the sample was found to have mild-level DASS scores, with significantly higher scores identified for Egyptian participants compared with those from other countries. In contrast, participants from Egypt presented significantly reduced GSES scores than those from other countries. Higher mean DASS scores were identified among females, participants who reported inappropriate housing conditions and participants who were unemployed, young, widowed, and school-educated. A high mean DASS score was significantly associated with reported disturbances in sleep, sexuality, and social communication, work schedule changes, the inability to concentrate on positive thoughts, the inability to empty their brains of daily thoughts, and not caring about regular interactions with family. Increased mean GSES scores were significantly associated with males, participants who reported appropriate housing conditions, participants who live alone, are older, married, hold higher education degrees, and who are employed with sufficient incomes, whereas lower mean GSES scores were significantly associated with participants who reported engaging in regular exercise, experiencing disturbances in sexuality and social communications, and reduced appetites. However, a significant inverse correlation was detected between the mean DASS and GSES scores, with significant positive correlations among the DASS. CONCLUSION: The COVID-19 quarantine was associated with a mild level of depression stress and normal anxiety levels, with higher psychological distress and lower self-efficacy identified among participants from Egypt. The emotional status of individuals during the COVID-19 pandemic should be explored further, and awareness programs, designed to address the psychological effects of quarantine, should be promoted, through mass media and other means, with consideration of the effects on the general population, COVID-19 cases, individuals with close contacts with COVID-19 cases, and health-care professionals.

Background. A violation of nutritional status (obesity) and emotional-behavioral status (depression) is one of the urgent problems of modern health care. Often these two problems are at the same time. Particularly striking manifestations of a decrease in nutritional and emotional statuses are observed in children with oncological diseases of various origins.Objective: to assess the emotional-behavioral status and nutritional status in pediatric cancer and hematological diseases after treatment.Materials and methods. The study included 112 children with acute lymphoblastic leukemia (n = 49) and central nervous system tumors (n = 63) in remission. Age 6–18 years (median 11.5 years). 66 male (58.9 %). The Aachenbаch questionnaire was used to assess the behavioral and individual-personality characteristics. CDI (children depression inventory) questionnaire was used to assess the presence and level of depression. Body mass index (in percentile terms) and body tissue composition by bioimpedance analysis (body fat and lean body mass were evaluated) were used to assess nutritional status.Results. As a result, it was found that a significant proportion of children have delayed effects of treatment in the form of reduced nutritional status and emotional and behavioral difficulties. Children with brain tumors have an increased risk of nutritional and emotional-behavioral disorders compared to children who have survived acute lymphoblastic leukemia. The nutritional and emotional-behavioral statuses of children are related: the presence of excess fat mass increases the risk of emotional-behavioral disorders. According to questionnaires, parents identify detected problems much more often than patients themselves.Conclusion. In children who have experienced antitumor treatment and achieved remission, in case of excess body fat, the risk of emotionalbehavioral disorders increases. Emotional-behavioral disorders can have a negative effect on rehabilitation measures; therefore, before starting rehabilitation measures it is necessary to take into account the nutritional and emotional-behavioral status of patients.

Introduction Olfactory dysfunction may be present in patients with nasal obstruction and septal deviation. The impact of olfactory dysfunction on the psychological profile and quality of life (QoL) of these patients remains unexplored. Objective The present study aimed to investigate the emotional status and QoL of patients with olfactory dysfunction and septal deviation and to identify predictors associated with clinically significant improvement of psychological status and QoL, focusing mainly on the role of olfactory recovery after septoplasty. Methods The olfactory function was quantitatively assessed using the ‘‘Sniffin’ sticks'' test (Burghart Messtechnik GmbH, Wedel, Germany) in 60 patients and 25 controls enrolled in this prospective study. The participants completed validated questionnaires specific for general health (Short Form-36), nasal-symptom related QoL (SinoNasal Outcome Test-22), olfaction-associated QoL (Questionnaire of Olfactory Deficits) and for assessing their psychological state (Short Anxiety Screening Test and Beck Depression Inventory) preoperatively and 6 months postoperatively. The patients used the Glasgow Benefit Inventory to evaluate their personal benefit after septoplasty with. Results Septoplasty led to significantly improved olfactory function. Patients with olfactory impairment had significantly lower nasal-symptom related QoL, higher stress levels, and more depressive mood compared with normosmics and controls before and after septoplasty. Postoperatively, personal benefit from surgery was higher in normosmic patients. Improvement of nasal-symptom related QoL was significantly associated with higher likelihood of clinically significant improvement of patients' psychological profile and more personal benefit from surgery. Olfactory dysfunction was negatively correlated with the emotional status of the patients. Conclusion Olfactory dysfunction appears to significantly affect the psychological status of patients with nasal obstruction, and olfactory recovery improves the patients' perception of personal benefit from septoplasty.

BACKGROUND AND PURPOSE Difficulties in emotion processing and social cognition identified in multiple sclerosis (MS) patients have a potential impact on their adaptation to the social environment. We aimed to explore the neural correlates of emotion recognition in MS and possible differences between relapsing-remitting MS (RRMS) and secondary progressive MS (SPMS) patients by the Reading the Mind in the Eyes test (RMEt). METHODS A total of 43 MS patients (27 RRMS, 16 SPMS) and 25 matched healthy controls (HC) underwent clinical assessments, RMEt, and a high-resolution T1-weighted 3-T magnetic resonance imaging (MRI) scan. The number of correct answers on the RMEt was compared between groups. T1-weighted volumes were processed according to an optimized voxel-based morphometry (VBM) protocol to obtain gray matter (GM) maps. Voxelwise analyses were run to assess potential associations between RMEt performance and regional GM volumes. RESULTS Taken altogether, MS patients reported significantly lower performance on the RMEt compared to HC. When dividing the patients into those with RRMS and those with SPMS, only the latter group was found to perform significantly worse than HC on the RMEt. VBM analysis revealed significant association between RMEt scores and GM volumes in several cortical (temporoparieto-occipital cortex) and subcortical (hippocampus, parahippocampus, and basal ganglia) brain regions, and in the cerebellum in SPMS patients only. CONCLUSIONS Results suggest that, in addition to other clinical differences between RRMS and SPMS, the ability to recognize others' emotional states may be affected in SPMS more significantly than RRMS patients. This is supported by both behavioral and MRI data.

Background Measuring emotional status objectively is challenging, but voice pattern analysis has been reported to be useful in the study of emotion. Objective The purpose of this pilot study was to investigate the association between specific sleep measures and the change of emotional status based on voice patterns measured before and after nighttime sleep. Methods A total of 20 volunteers were recruited. Their objective sleep measures were obtained using a portable single-channel electroencephalogram system, and their emotional status was assessed using MIMOSYS, a smartphone app analyzing voice patterns. The study analyzed 73 sleep episodes from 18 participants for the association between the change of emotional status following nighttime sleep (Δvitality) and specific sleep measures. Results A significant association was identified between total sleep time and Δvitality (regression coefficient: 0.036, P=.008). A significant inverse association was also found between sleep onset latency and Δvitality (regression coefficient: –0.026, P=.001). There was no significant association between Δvitality and sleep efficiency or number of awakenings. Conclusions Total sleep time and sleep onset latency are significantly associated with Δvitality, which indicates a change of emotional status following nighttime sleep. This is the first study to report the association between the emotional status assessed using voice pattern and specific sleep measures.

What factors negatively influence the accuracy of topical diagnosis of spinal nerve root lesion during neurological examination has not been solved until now.Objective:to identify the nature of the relationship between the accuracy of topical diagnosis of spinal nerve lesion from neurological symptoms in patients with cervical disk herniation and the peculiarities of their emotional status and quality of life.Patients and methods. Forty-eight patients with cervical disc herniation were examined. At first, the level of spinal nerve root lesion established during neurological examination was compared with the results of magnetic resonance imaging or computed tomography and surgical intervention. Thereafter, the importance of emotional factors in determining the accuracy of topical diagnosis is studied in these patients.Results and discussion. If there was a divergence between preliminary neurological and final diagnoses, personality traits, such as hysteria, psy-chasthenia, alexithymia, and trait anxiety were most significant. The most substantial differences were found in the index of alexithymia. The accuracy of topical diagnosis was influenced not only by the psychological profile of patients with cervical disc herniation, but also by their qualty-of-life indicators. These are persons who are anxious and suspicious and are characterized by anxiety, fearfulness, indecision, and constant doubt. They use the symptoms of a somatic disease as a means to avoid responsibility. These patients solve all their problems, by escaping into disease, which causes social maladjustment.Conclusion.The features of an individual's psychological profile as increased anxiety, hysteria, and psychasthenia reduce the accuracy of topical diagnosis of the lesion by 25.6%. Patients with cervical disk herniation, low quality-of-life indicators, and high scale scores for hypochondria, depression, psychasthenia, and trait anxiety need their emotional status to be corrected.

BACKGROUND: Aquatic exercises are often recommended for people with osteoarthritis (OA), however, there is a lack of evidence about the effects of these exercises. OBJECTIVES: The purpose of this study was to investigate the effects of two different aquatic exercise trainings on cardiopulmonary endurance and emotional status in patients with knee osteoarthritis. METHODS: Eighty-nine patients who had been diagnosed with knee osteoarthritis were divided into three groups as two different aquatic exercise training groups (only lower extremity training vs. lower extremity + upper extremity and trunk exercises) or the control group. All groups have received the conventional therapy which consisted of hotpack, ultrasound, transcutaneous electrical nerve stimulation (TENS), and home exercises. Six-minute walk test (6MWT) and the Hospital Anxiety and Depression Scale (HAD) were used for assessing cardiopulmonary endurance and emotional status, respectively. RESULTS: Following the treatment, all groups improved in terms of systolic blood pressure, walking distance and total HAD scores. Group 1 showed additional improvements in diastolic blood pressure, heart rate and perceived exertion, while Group 2 showed additional improvements only in perceived exertion. Greater changes before and after the treatment in diastolic blood pressure at rest and following 6MWT, perceived exertion following 6MWT, walking distance, HAD depression scores and HAD anxiety scores were observed in Group 1. CONCLUSIONS: Exercise therapy consisting of only lower extremity exercises in water might be more effective in improving exercise capacity and depression levels in comparison to upper extremity and trunk added exercises or conventional physical therapy. © 2019 - IOS Press and the authors. All rights reserved.

Background: Write-and-draw technique, which has been gaining popularity as a tool to capture views of children in the field of medicine, can be applied to seek views of children on pediatric dentists and dental operatory. Aim: The aim of the study was to seek the views of children on what they think about visiting a dental care setting and also to ascertain the views of children on pediatric dentists and dental operatory. Methodology: Fifty children aged 7-14 years selected on convenience sampling included in the study after obtaining informed assent were divided into two groups; Group A (n = 25) included children with the past dental experience and Group B (n = 25) included children without previous dental experience. Children with special health-care needs were excluded from the study. Those teachers involved in the data collection process were given a full script (quote) to follow. Results: Data analysis was performed using Riley's technique (1996) of coding data through the use of colored highlighter pens to identify common themes. Common themes emerged from the analysis were empathy, painless injection, white coat anxiety, and play area. Conclusion: Write-and-draw technique can be effectively applied as a tool to identify the opinions of children regarding pediatric dentists and dental operatory and dental operatory.

The paper presents an integrated methodology to assess psychological and physiological responses of people when exposed to forests, with the main objective of assessing the suitability of different stands for stress recovery on the basis of tree species and density. From the methodological viewpoint, the study applies both a Restoration Outcome Scale (ROS) questionnaire and a neuroscientific technique grounded on electro-encephalographic (EEG) measurement. Results show different outcomes for conifers and broadleaves as well as a statistical significance of density in the evaluation of an individual&rsquo, s emotional state. A forest with a high density of conifers and low density of broadleaves seems to be the proper combination for stress recovery. The differences among psychological stated preferences and EEG trends highlights potential conflict among &ldquo, needs&rdquo, and &ldquo, wants&rdquo, of people in the topic of stress relief. Potential applications of the research for health care and territorial marketing operations are suggested.

Utilizing a World Health Organization (WHO) multi-national dataset, the present study examined the relationships between emotion, affective variability (i.e., the fluctuation of emotional status), and depression across six developing countries, including China (N = 15,050); Ghana (N = 5,573); India (N = 12,198); Mexico (N = 5,448); South Africa (N = 4,227); and Russia (N = 4,947). Using moderated logistic regression and hierarchical multiple regression, the effects of emotion, affective variability, culture, and their interactions on depression and depressive symptoms were examined when statistically controlling for a number of external factors (i.e., age, gender, marital status, education level, income, smoking, alcohol drinking, physical activity, sedentary behavior, and diet). The results revealed that negative emotion was a statistically significant predictor of depressive symptoms, but the strength of association was smaller in countries with a lower incidence of depression (i.e., China and Ghana). The association between negative affective variability and the risk of depression was higher in India and lower in Ghana. Findings suggested that culture not only was associated with the incidence of depression, but it could also moderate the effects of emotion and affective variability on depression or the experience of depressive symptoms.

Sébastien Lazzarotto,1,2 Karine Baumstarck,1 Anderson Loundou,1 Zeinab Hamidou,1,3 Valérie Aghababian,1 Tanguy Leroy,1,4 Pascal Auquier1 1EA 3279, Self-Perceived Health Assessment Research Unit, School of Medicine, Aix Marseille Université, 2French Regional Institute for Prevention of Aging, Marseille, 3National Clinical Research Quality of Life in Oncology Platform, Marseille, 4Social Psychology Research Group (GRePS EA 4163), Université Lumière Lyon 2, Bron, France Objectives: Age-related hearing loss (ARHL) impacts the daily living and quality of life (QoL) of affected individuals and the functioning of family caregivers. In the specific context of voluntary medical checkups, we examined sample dyads (ARHL individual and the caregiver) to determine whether QoL of patients and caregivers is influenced by coping strategies implemented either by themselves or their relatives.Methods: This was a cross-sectional study with a descriptive/correlative design performed in a French preventive health center (Regional Institute for Prevention of Aging, Marseille, France) for the beneficiaries of pension funds of private sector employees. The samples included beneficiary–caregiver dyads. The beneficiaries had bilateral (mild to moderately severe) ARHL. Self-reported data were collected as follows: QoL using the World Health Organization Quality of Life questionnaire, coping strategies using the Brief Coping Orientation to Problems Experienced Scale, and anxiety and mood using visual analog scales.Results: The final sample comprised 44 beneficiaries and 44 caregivers. The caregiver was the partner of the beneficiary in 73% of cases. The QoL scores of the social dimension were significantly lower for beneficiaries and caregivers compared with French age- and sex-matched controls. Among beneficiaries and caregivers, coping strategies based on problem solving were the most commonly used strategies. The use of positive thinking strategies was associated with higher QoL scores. The more one member of the dyad used an avoidance coping strategy, the more the other member used a positive thinking strategy.Conclusion: This study emphasizes that QoL of individuals with age-related hearing impairment and their natural caregivers is related to the coping strategies that they use. This finding suggests that targeted interventions should be offered to help individuals who experience emotional difficulties to implement more efficient coping strategies. Keywords: age-related hearing impairment, caregivers, dyads, quality of life, coping, emotional status&nbsp

WOS: 000394500100004 Objectives: This study aims to evaluate balance performance and fear of falling (FOF) in older people with and without diabetes mellitus (DM) and the parameters affecting balance and FOF in older patients with DM. Patients and methods: Between 2013 June - 2014 April, a total of 100 patients with DM (37 males, 63 females; mean age 66.8 +/- 4.3 years; range 60 to 83 years) and 101 non-diabetic elderly controls (35 males, 66 females; mean age 68.0 +/- 4.3 years; range 64 to 81 years) were enrolled in this study. Fear of falling (Falls Efficacy Scale-International (FES-I)), neuropathic pain [Leeds Assessment of Neuropathic Symptoms-Signs (LANSS)], mobility [Timed Up and Go test (TUG)], balance [Berg Balance Scale (BBS)], One-Legged Stance test (OLST), disability status [Modified Barthel Index (MBI)], depression [Beck Depression Inventory (BDI)] and anxiety [Beck Anxiety Inventory (BAI)] were assessed. Results: Timed Up and Go test, BDI, BAI, and FES-I scores were significantly higher; BBS, OLST, and MBI scores were significantly lower in patients. There were significant effects of neuropathic pain, hypertension and cardiovascular disease on BBS and FES-I in diabetic patients. One-Legged Stance test, TUG, and FES-I were associated with BBS in diabetic patients. Falls Efficacy Scale-International was significantly correlated with HbA1c, MBI and BBS in patients. Conclusion: Older people with DM have increased FOF and balance problems. Uncontrolled DM, cardiovascular problems and neuropathic pain have negative impact on balance and FOF. Physiatrist should also take part in the follow-up of older diabetic patients.

Background: Psychiatric comorbidities are prevalent in patients with chronic somatic disorders such as asthma. But, there is no clear evidence regarding the effect of atopic status and the type of sensitized allergen on emotional status. The aim of the present study was to investigate the effects of house dust mites and pollen allergies on emotional status, asthma control and the quality of life in patients with atopic asthma. Methods: The study included 174 consecutive patients who were diagnosed with asthma accoring to the GINA criteria and who did not receive therapy for their allergy. All patients underwent a skin prick test. The asthma control, quality of life, and emotional status were evaluated using the ACT (asthma control test), AQLQ (asthma-specific quality of life questionnaire), and HAD (hospital anxiety depression questionnaire). Results: Atopy was detected in 134 (78.7%) patients. Of those patients: 58 (33.3%) had anxiety and 83 (47.7%) had depression. There was no relationship between emotional status, atopic status, and the type of indoor/outdoor allergen. Furthermore, there was no relationship between atopy and asthma severity, asthma control, and the quality of life. The anxiety and depression scores were significantly higher and the quality of life scores lower in the uncontrolled asthma group. The ACT and AQLQ scores were also lower in the anxiety and depression groups. Conclusions: It was concluded that anxiety and depression are prevalent in patients with uncontrolled asthma, and atopic status did not affect the scores in ACT, AQLQ, and emotional status tests.

Background: Connective Tissue Massage (CTM) or Manipulation is a bodywork technique which lies at the interface between alternative approaches. The autonomic balancing responses to CTM can be useful in the treatment of anxiety.Aim: This study was planned to investigate the effects of connective tissue mobilization (CTM) on quality of life and emotional status in healthy subjects. Design; Prospective trial, Setting; Treatment and Population. The study was conducted on 100 volunteers (students). Students in second class were in CTM group (20,49±1,37 years) and students (19,50±1,15 years) educating in class 1 were in control group. Methods: Participants were assessed before and after CTM according to flexibility of trunk flexion, hamstring muscles, trunk hyperextension and lateral flexion. It was used The SF-36 Health-Related Quality of Life Inventory (SF-36) to assess general health status and Beck Depression Scale was used for assessing emotional status.Results: It was observed a significant increase at lateral flexion to the right of trunk (p=0,03) in CTM group after application. It was found a significant difference (p=0,009) in emotional status between groups. It was found differences at general health level (p=0,001), limitations in emotional role (p=0,016) in SF-36. It was some differences in depression status and some subscales of SF-36 (general health, social status, emotional well-being, pain and energy levels) in favour of control group before application. It was no difference between groups after application.Conclusion: CTM could be used for minimizing depressive symptoms, improving quality of life in healthy young subjects.Key words: Connective tissue massage, Rehabilitation, General health status, Emotional status.

To date, the frailty syndrome has surprisingly attracted limited attention in the field of neurology andneuroscience. Nevertheless, several concepts closely related to frailty, such as vulnerability, susceptibility, andhomeostatic reserves, have been increasingly investigated and documented at level of neuronal cells, brainnetworks, and functions. Similarly, several aspects commonly assessed in the neurological practice, includingcognitive functioning and emotional/affective status, clearly appear to be major determinants of the individual’svulnerability and resiliency to stressors. Therefore, they should be carefully considered in the clinical approach tofrail subjects. Moreover, dysfunctions of these domains, if timely detected, may be suitable to be targeted byinterventions providing beneficial effects to the overall health status of the individual. In the present article, wediscuss the neurobiological processes potentially contributing to frailty. Moreover, we reason about the clinicalmanifestations allowing the prompt and easy recognition of frail persons in the neurological practice.

The object of this paper is to develop an emotion recognition system that analysis the motion trajectory of the eye and gives the response on appraisal emotion. The emotion recognition solution is based on the data gathering using head mounted eye tracking device. The participants of experimental investigation were provided with a visual stimulus (PowerPoint slides) and the emotional feedback was determined by the combination of eye tracking device and emotion recognition software. The stimulus was divided in four groups by the emotion that should be triggered in the human, i.e., neutral, disgust, exhilaration and excited. Some initial experiments and the data on the recognition accuracy of the emotion from eye motion trajectory are provided along with the description of implemented algorithms.

Regular walking is one of the most recommended and popular physical activity worldwide. This study (1) detected the effects of unsupervised regular walking on physical and cognitive functioning, emotional status, and quality of life in middle-aged and older adults and (2) compared the results with inactive controls. Forty middle-aged and older adults with a mean age of 56.30 ± 4.85 years (range 40–70) walking for at least 1 year, at least three times a week, and at least 45 min a day and 40 inactive participants with a mean age of 55.15 ± 5.64 years (range 40–70) participated. Before testing, sociodemographics of the participants were recorded. Body mass index and waist–hip ratio were calculated. The two groups were evaluated and compared in terms of physical functioning (handgrip strength, balance performance, cardio-vascular endurance, flexibility, muscular endurance and coordination), cognitive functioning (Mini Mental Test), emotional status (Beck Depression Inventory), and health related quality of life (CDC HRQOL- 4). The results obtained from this study showed that there were significant differences in terms of all outcome measurements between the groups (p

Aim: To describe effectiveness of deep brain stimulation of subthalamic nucleus (DBS STN) on physical, emotional, cognitive functions and daily activities in Parkinson's patients. Material and Methods: Ten patients (51.20 ±10.20 yr.) were assessed three times. The Time Up and Go Test, 12 m Walking Test and Chair Stand Test were used to assess mobility and balance. Purdeu Pegboard and hand writing tests were used to evaluate hand function. The Hospital Anxiety and Depression Scale (HAD) was used to detect depressive symptoms and anxiety score. The Unified Parkinson\'s Disease Rating Scale (UPDRS) and Hoehn &Yahr Scale were also used. The Schwab and England Test was used to evaluate the daily activities (ADL). Results: The results showed that all the patients' mobility and balance ability improved after surgery (p

We investigated the influence of repressive coping, depression, cognition, education and age on geriatric patients' reports on health-related status in 80 geriatric patients with a history of injurious falls. For patient reports, subjective statements on activity avoidance, perception of terminal decline, falls, and fear of falling were assessed. Co-morbidity and number of medications were documented based on patient charts. Repressive coping was significantly associated with underreporting in geriatric patients in all items documented and predicted most variables of patients' reports. Because of underreporting significant health problems geriatric patients with repressive coping may therefore be at risk for inadequate medical treatment. © 2008 Spinger.

This study aimed to compare the emotional status of children with cancer between the ages of five and twelve with their healthy peers. The study groups of the research consist of children with cancer disease between the ages of five and twelve which have inpatient treatment at pediatric oncology service and healthy peers of the same age and gender. Totally 70 children, with 35 cancer who took inpatient treatment and two or more chemotherapy treatments between the dates September-November 2017, and also whose families accepted to participate in the research and 35 healthy children who live at the centre of Ankara, and were chosen with easy sampling method were included to the research. When collecting the data, “General Information Form” was used to determine the sociodemographic characteristics of the children and their families and the pictures drawn by the children were used to determine the emotional situations of the children. Pictures were evaluated according to the expert opinions using Koppitz’s “Draw a Man” evaluation test. The Chi-Square test was used to evaluate the data. The coherence between the experts was determined by the Cronbach Alpha value which was found 0.83. According to findings of the research, it was concluded that the impulsiveness, self-insecurity, anxiety, and anger-aggressiveness (p>0.05); shyness-timidity (p with cancer was significantly higher than their healthy peers.